Individual provider Active NPI

Anthony Terracina, M.D.

  • Specialist
  • Newport News, VA
National Provider Identifier
1144384199
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101236493 Issued in VA
Practice address
12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414
Phone
(757) 947-3170
Fax
(757) 947-3180
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101236493 VA Primary

Addresses

Primary practice location

12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414

Mailing address

12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414
Phone (757) 947-3170

Other identifiers 2

IdentifierTypeStateIssuer
138438OtherVAANTHEM
010071372MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000188 VA Practitioner - General Surgery 0941289102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

12720 McManus Blvd
Newport News, VA 23602-4414
Phone (757) 947-3170

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 947-3838

Hospital & facility affiliations

  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101236493VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Mary Immaculate Hospital LLC CurrentSince Sep 7, 2010 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Mary Immaculate Hospital LLC CurrentSince Sep 7, 2010 Accepting new patients
Weight Loss Surgery Center Specialist Past Accepting new patients

Locations

12720 McManus Blvd
Ste 308
Newport News, VA 23602
Phone (757) 947-3170

12720 McManus Blvd
Ste 305
Newport News, VA 23602
Phone (757) 947-3170

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784

Interoperability endpoints

  • Direct secure messaging: aterracina1156323@direct.bsmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1144384199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 305",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3170",
            "fax_number": "757-947-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 305",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3170",
            "fax_number": "757-947-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRACINA",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101236493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "138438",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010071372",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.